Predictive Effect of Life Events on Adolescent Depression in Taiwan

生活事件對台灣青少年憂鬱症的預測

鍾明勳(Ming-Shun Chung) ； 孫文榮(Wen-Jung Sun) ； 林界男(Chieh-Nan Lin) ； 郭建成(Chien-Cheng Kuo) ； 黃偉哲(Wei-Che Huang) ； 鄭惠萍(Hui-Ping Cheng) ； 周碧瑟(Pesus Chou)

《台灣精神醫學》 31卷4期 (2017/12) Pp. 327-336

摘要

Objectives: High risk of developing depression, adolescence is a critical focus of study in determining vulnerability to depression. In children and adolescents, negative life events (NLE) are associated with the development of depression. The objective of this study was to study the impacts of life events on major depressive disorder and dysthymia in adolescents in Taiwan. Methods: We recruited 719 students (grades 5-8) to collect demographic data, Taiwanese Depression Questionnaire score, and Life Events Checklist at the first stage. Psychiatrists interviewed 511 students of those 719 students with the Mini-International Neuropsychiatric Interview-Kid to assess their psychiatric diagnoses 1.5-2.5 years later, at the second stage. With multiple logistic regression, we determined risk factors for the diagnoses of depressive disorders. Results: There was significant difference among no depressive disorder, dysthymia, and major depressive disorder in NLE. Independent NLE are significantly associated with major depressive disorder (p ＜ 0.05), and deviated NLE are more significantly associated with dysthymia (p ＜ 0.01). ＂Parents divorced＂ (p ＜ 0.01) and ＂Death of a family member＂ (p ＜ 0.01) were significantly predictive of major depressive disorder after controlling for the depressive symptoms at the first stage. The life events ＂Parents divorced＂ (p ＜ 0.01), ＂A new brother or sister＂ (p ＜ 0.01), ＂Trouble with brother or sister,＂ (p ＜ 0.01) and ＂Trouble with classmates＂ (p ＜ 0.01) were significantly predictive of dysthymia. Conclusion: Individual life events associated with the basic structure of the family and peer relationships may predict the onset of major depressive disorder and dysthymia.

關鍵字

adolescent ； life events ； major depressive disorder ； dysthymia

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